For a dental practice, revenue cycle management is just as important as patient care. Daily dental billing and insurance coverage collections for the services rendered is the fuel that keeps a dental practice profitable. Accurate documentation, timely claims...
Blog
Consumer-friendly Billing Strategies in the Era of High Deductible Plans
Patient billing and payment are significant revenue cycle management (RCM) challenges that practices and medical billing companies face. High-deductible health plans require members to make...
Medical Billing Expertise for Success in Value Based Payment Models
The tide of health care revenue cycle management (RCM) is changing with the switch to value-based reimbursement. Physicians can benefit from the support of an expert medical billing service provider...
How to Report and Code For Prolonged Services
According to a recent report in Medical Economics, prolonged services are on the rise. Reporting prolonged services can be tricky because of the time criteria involved. Physicians and medical...
Medicare Looking to Expand Telehealth Services – Learn the Reimbursement Rules
The recent introduction of rare bipartisan legislation to expand Medicare's telehealth services is being hailed as a development that could potentially reduce costs and improve patient health. With...
Ensuring Accurate Claim Submission for Transitional Care Management Services
Medical billing and coding companies receive a large volume of Transitional Care Management (TCM) claims to process. TCM services help reduce readmissions, which are a huge cost for the health care...
What Mandatory Bundling Payment Programs mean for Hospitals
As the fee-for-service environment becomes outdated, medical billing companies are well aware that the future of revenue cycle management in healthcare could be influenced by alternative payment...
What are Anesthesia and HCPCS Modifiers and When to Use Them
Understanding the use of anesthesia and HCPCS modifiers is critical to communicate specific information to payers about the procedure or service provided. Expert coders in medical coding companies...
Latest Report – ICD-10 Market to See Vigorous Growth by 2025
The International Classification of Diseases (ICD-10) code set undoubtedly made a tremendous impact on how documentation was handled by both physician's office and the medical billing and coding...
What are Medical Coding Modifiers? Examples of CPT Modifiers and When to Use Them
Medical, surgical, and diagnostic procedures and services are described by Category I CPT codes using five-digit numerical sequences. Category II CPT codes provide additional information to Category...
Clinical Documentation Integrity Crucial to Optimize HCC Coding and Reimbursement
Changing regulations and reimbursement methodologies such as risk-adjusted and value-based models has put the focus on risk adjustment and hierarchical condition coding or HCC coding. Risk...